Thanks for trusting n expecting Assertive Health n progressive fittness with Holistic Ayurveda Approach, there might be hard stools passed in recent past n hurted anal mucosa or possibly straining during stool n habitual constipation might lead piles issue so till u consult In person with Ayurved Ksharsutra expert like me or surgeon plz apply 2% Lox gelly or pilex onit before n after seitzs bath after passing stools twice a day, have warm buttermilk by adding carom seeds, water soaked Resins multiple times will sooth u, hope it'll work feel free to communicate